Patient Name: Singh, Mr Surender

Study Date: 08-02-2022

Acquisition #: 1314

SPLIT NIGHT REPORT

Patient Information
Name Singh, Mr Surender
Sex F
Age 57
Polysomnography was conducted on the night of 08-02-2022. The following were monitored: central and occipital EEG,
electrooculogram (EOG), submentalis EMG, nasal and oral airflow, thoracic and abdominal wall motion, anterior tibialis EMG,
body position and electrocardiogram. Arterial oxygen saturation was monitored with a pulse oximeter. The tracing was scored
using 30 second epochs. Hypopneas were scored per AASM definition
Sleep Summary (All Night)
Lights Out: 11:28:17 PM Stage Duration % TST
Lights On: 05:25:17 AM N1 19.5 min 6.1%
Total Recording Time: 357.0 min N2 281.0 min 87.3%
Total Sleep Time (TST): 322.0 min N3 21.5 min 6.7%
Sleep Period Time: 338.5 min R 0.0 min 0.0%
Sleep Onset: 11:32:17 PM
Sleep Efficiency: 90.2 % Latencies From Lights Out From Sleep Onset
Sleep Latency (from LOff): 4.0 min N1 21.0 min 17.0 min
R Latency (from Sleep Onset): N/A N2 4.0 min 0.0 min
Wake After Sleep Onset (WASO): 31.0 min N3 33.0 min 29.0 min
Wake During Sleep: 16.5 min R N/A N/A
Total Wake Time: 35.0 min
% Wake Time: 9.8

POLYSOMNOGRAPHY REPORT

Type of Study : Complete Overnight Polysomnography with Titration

OBSERVATION : Sleep architecture showed predominantly stage 2 sleep by the patient and a sleep efficiency
was 90.9 % during the diagnostic period. In the titration period the patient achieved sleep
time and an improved sleep efficiency of 89.7 %.

Oxygen Saturation Data : The lowest SpO2 was 57 % during the diagnostic period. In the titration period the patient
achieved lowest SpO2 was 82 %.

TITRATION : TITRATION with CPAP

IMPRESSION : AHI was observed : 73.7 diagnostic period and an improved AHI 5.6 .
Obstructive Sleep Apnea (5 Normal, 5-15 Mild, 15-30 Moderate, 30 Severe)

RECOMMENDATION : Recommend Auto BIPAP with Vte suggested a requirement of

achieve control of AHI <5 .

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 Patient Name: Singh, Mr Surender
Study Date: 08-02-2022
Acquisition #: 1314

DIAGNOSTIC PORTION
Sleep Summary
Lights Out: 11:28:17 PM Stage Duration % TST
Lights On: 02:02:17 AM N1 10.0 min 7.1%
Total Recording Time: 154.0 min N2 110.5 min 78.9%
Total Sleep Time (TST): 140.0 min N3 19.5 min 13.9%
Sleep Period Time: 147.5 min REM 0.0 min 0.0%
Sleep Onset: 11:32:17 PM
Sleep Efficiency: 90.9 % Latencies From Lights Out From Sleep Onset
Sleep Latency (from LOff) 4.0 min N1 21.0 min 17.0 min
R Latency (from Sleep Onset): N/A N2 4.0 min 0.0 min
Wake After Sleep Onset (WASO): 10.0 min N3 33.0 min 29.0 min
Wake During Sleep: 7.5 min R N/A N/A
Total Wake Time: 14.0 min
% Wake Time: 9.1

Respiratory Summary
By Event Classification Central Mixed Obstructive
Count Mean Max Count Mean Max Count Mean Max
Apneas, NREM 1 12.0 12.0 16 22.7 48.5 86 20.0 51.5
Apneas, REM
Apneas, Total 1 12.0 12.0 16 22.7 48.5 86 20.0 51.5
*Hypopneas scored based on 4 % or greater desaturation.
Hypopneas, NREM 69 25.1 58.5 RERAs, NREM 0 0.0 0.0
Hypopneas, REM RERAs, REM
Hypopneas, Total 69 25.1 58.5 RERAs, Total 0 0.0 0.0
Event Statistics Total With Arousal
Count Index Count Index
Apneas, Total 103 44.1 60 25.7
Hypopneas, Total 69 29.6 50 21.4
Apnea + Hypopnea Total 172 AHI: 73.7 110 47.1
Apnea + Hypopnea NREM 172 AHI: 73.7 110 47.1
Apnea + Hypopnea REM AHI: N/A 0 0.0
RERAs, Total 0 0.0 0 0.0
Total Events (A+H+RERA) Total 172 RDI: 73.7 110 47.1
Total Events (A+H+RERA) NREM 172 RDI: 73.7 110 47.1
Total Events (A+H+RERA) REM RDI: N/A 0 0.0

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 Patient Name: Singh, Mr Surender
Study Date: 08-02-2022
Acquisition #: 1314

Cheyne Stokes Breathing: None Present

Hypoventilation: None Present

Respiratory Summary by Body Position

By Body Position Back Left Right Prone Total Back Left Right Prone Total
Apn Index, REM 0.0 0.0 0.0 AHI, REM 0.0 0.0 0.0
Apn Index, NREM 62.2 0.0 4.1 44.1 AHI, NREM 94.0 0.0 28.9 73.7
Apn Index, Total 62.2 0.0 4.1 44.1 AHI, Total 94.0 0.0 28.9 73.7
Hyp Index, REM 0.0 0.0 0.0 RDI, REM 0.0 0.0 0.0
Hyp Index, NREM 31.7 0.0 24.8 29.6 RDI, NREM 94.0 0.0 28.9 73.7
Hyp Index, Total 31.7 0.0 24.8 29.6 RDI, Total 94.0 0.0 28.9 73.7
Duration (min) 100.9 0.1 43.9 147.5 TST (min) 96.4 0.0 43.6 154.0

Heart Rate Summary

Average Heart Rate During Sleep 86.8 bpm

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 Patient Name: Singh, Mr Surender
Study Date: 08-02-2022
Acquisition #: 1314

Arousals
Limb
Total # Respiratory Movement Snore Spontaneous
REM 0 0 0 0 0
NREM 196 110 42 1 43
WAKE 0 0 0 0 0
TOTAL 196 110 42 1 43
INDEX 84.0 47.1 18.0 0.4 18.4

Oximetry Data
Average O2 while awake 90 % Average O2 while in Non-REM 84 %
Average O2 while in REM % Approximate minimum O2 value 57 %
Oximetry Distribution
WK REM NREM Total
<50 % (min) 0.0 0.0 0.0 0.0
<60 % (min) 0.0 0.0 0.6 0.6
<70 % (min) 0.0 0.0 10.8 10.8
<75 % (min) 0.2 0.0 21.2 21.4
<80 % (min) 0.9 0.0 35.8 36.7
<85 % (min) 1.9 0.0 55.3 57.2
<90 % (min) 4.3 0.0 98.4 102.7
<95 % (min) 12.4 0.0 137.1 149.5
<0 % (min)
Fail (min) 0.1 0.0 0.0 0.1
Average (%) 90 84 85
Desat Index (#/hour) 93.0 93.0
Desat Max (%) 0 0 32 32
Desat Max Dur (sec) 0.0 0.0 58.0 58.0
Oximetry Summary
W R NR Total
Fail Duration (min) 0.1 0.0 0.0 0.1
Average (%) 90 84 85
# of Desaturations* 0 0 217 217
Desat Index (#/hour) 93.0 93.0
Desat Max Dur (sec.) 0.0 0.0 58.0 58.0

*Desaturations based on 3% or greater drop from baseline.

Minimum SpO2 value during sleep: 57%
Minimum SpO2 value duration during sleep: 12 seconds
Minimum SpO2 value associated with a respiratory event: 57%

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 Patient Name: Singh, Mr Surender
Study Date: 08-02-2022
Acquisition #: 1314

THERAPY PORTION
Sleep Summary
Lights Out: 02:02:17 AM Stage Duration % TST
Lights On: 05:25:17 AM N1 9.5 min 5.2%
Total Recording Time: 203.0 min N2 170.5 min 93.7%
Total Sleep Time (TST): 182.0 min N3 2.0 min 1.1%
Sleep Period Time: 187.5 min REM 0.0 min 0.0%
Sleep Onset: 02:03:17 AM
Sleep Efficiency: 89.7 % Latencies From Lights Out From Sleep Onset
Sleep Latency (from LOff): 1.0 min N1 82.0 min 81.0 min
R Latency (from Sleep Onset): N/A N2 1.0 min 0.0 min
Wake After Sleep Onset (WASO): 20.0 min N3 52.0 min 51.0 min
Wake During Sleep: 5.5 min R N/A N/A
Total Wake Time: 21.0 min
% Wake Time: 10.3

Respiratory Summary
By Event Classification Central Mixed Obstructive
Count Mean Max Count Mean Max Count Mean Max
Apneas, NREM 0 0.0 0.0 2 33.5 55.5 5 10.3 11.0
Apneas, REM
Apneas, Total 0 0.0 0.0 2 33.5 55.5 5 10.3 11.0
*Hypopneas scored based on 4 % or greater desaturation.
Hypopneas, NREM 10 18.8 45.0 RERAs, NREM 0 0.0 0.0
Hypopneas, REM RERAs, REM
Hypopneas, Total 10 18.8 45.0 RERAs, Total 0 0.0 0.0
Event Statistics Total With Arousal
Count Index Count Index
Apneas, Total 7 2.3 4 1.3
Hypopneas, Total 10 3.3 4 1.3
Apnea + Hypopnea Total 17 AHI: 5.6 8 2.6
Apnea + Hypopnea NREM 17 AHI: 5.6 7 2.3
Apnea + Hypopnea REM AHI: N/A 0 0.0
RERAs, Total 0 0.0 0 0.0
Total Events (A+H+RERA) Total 17 RDI: 5.6 8 2.6
Total Events (A+H+RERA) NREM 17 RDI: 5.6 7 2.3
Total Events (A+H+RERA) REM RDI: N/A 0 0.0

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 Patient Name: Singh, Mr Surender
Study Date: 08-02-2022
Acquisition #: 1314

Cheyne Stokes Breathing: None Present

Hypoventilation: None Present

Respiratory Summary by Body Position

By Body Position Back Left Right Prone Total Back Left Right Prone Total
Apn Index, REM 0.0 0.0 AHI, REM 0.0 0.0
Apn Index, NREM 2.0 2.5 2.3 AHI, NREM 6.9 5.0 5.6
Apn Index, Total 2.0 2.5 2.3 AHI, Total 6.9 5.0 5.6
Hyp Index, REM 0.0 0.0 RDI, REM 0.0 0.0
Hyp Index, NREM 4.9 2.5 3.3 RDI, NREM 6.9 5.0 5.6
Hyp Index, Total 4.9 2.5 3.3 RDI, Total 6.9 5.0 5.6
Duration (min) 62.3 125.2 187.5 TST (min) 61.2 120.8 203.0

Heart Rate Summary

Average Heart Rate During Sleep 95.1 bpm

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 Patient Name: Singh, Mr Surender
Study Date: 08-02-2022
Acquisition #: 1314

Arousals
Limb
Total # Respiratory Movement Snore Spontaneous
REM 0 0 0 0 0
NREM 133 7 110 0 16
WAKE 1 1 0 0 0
TOTAL 134 8 110 0 16
INDEX 44.2 2.6 36.3 0.0 5.3

Oximetry Data
Average O2 while awake 90 % Average O2 while in Non-REM 90 %
Average O2 while in REM % Approximate minimum O2 value 82 %
Oximetry Distribution
WK REM NREM Total
<50 % (min) 0.0 0.0 0.0 0.0
<60 % (min) 0.0 0.0 0.0 0.0
<70 % (min) 0.0 0.0 0.0 0.0
<75 % (min) 0.0 0.0 0.0 0.0
<80 % (min) 0.0 0.0 0.0 0.0
<85 % (min) 0.2 0.0 2.1 2.3
<90 % (min) 7.0 0.0 82.6 89.6
<95 % (min) 21.0 0.0 180.7 201.7
<0 % (min)
Fail (min) 0.0 0.0 0.0 0.0
Average (%) 90 90 90
Desat Index (#/hour) 33.6 33.6
Desat Max (%) 3 0 10 10
Desat Max Dur (sec) 6.0 0.0 35.0 35.0
Oximetry Summary
W R NR Total
Fail Duration (min) 0.0 0.0 0.0 0.0
Average (%) 90 90 90
# of Desaturations* 1 0 102 102
Desat Index (#/hour) 33.6 33.6
Desat Max Dur (sec.) 6.0 0.0 35.0 35.0

*Desaturations based on 3% or greater drop from baseline.

Minimum SpO2 value during sleep: 82%
Minimum SpO2 value duration during sleep: 10 seconds
Minimum SpO2 value associated with a respiratory event: 84%

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 Patient Name: Singh, Mr Surender
Study Date: 08-02-2022
Acquisition #: 1314

Pressure Distribution
RxIns RxExp TIB Sleep REM Apneas Hypopneas A+H RERAs
cmH2O cmH2O (min) (min) (min) CA# OA# MA# Index Count Index Index Count Index RDI
0 0 147.1 139.6 0.0 1 86 16 44.3 69 29.7 73.9 0 0.0 73.9
4 3 11.0 7.6 0.0 0 0 1 7.9 4 31.6 39.5 0 0.0 39.5
4 4 27.1 21.6 0.0 0 4 0 11.1 3 8.3 19.4 0 0.0 19.4
4 6 3.9 3.9 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
4 7 6.9 6.9 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
6 4 4.0 4.0 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
8 6 8.3 8.3 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
8 7 12.2 12.2 0.0 0 0 1 4.9 2 9.8 14.8 0 0.0 14.8
9 8 6.9 6.9 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
10 8 13.9 13.9 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
10 9 28.5 28.5 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
11 9 8.5 8.5 0.0 0 1 0 7.1 1 7.1 14.1 0 0.0 14.1
11 10 36.6 36.6 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
11 11 7.9 7.9 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
12 11 11.5 11.5 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0

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Patient Name: Singh, Mr Surender Study Date: 08-02-2022

NIGHT HYPNOGRAM
W Stage
R
N1
N2
N3
130 HR,BPM

110
90
70
50
30
100 SpO2,%

90

80

70
30 CA,sec
15
0
30 OA,sec
15
0
30 MA,sec
15
0
50 HYPO,sec
25
0
30 LegMvt,sec
15
0
30 arousal,sec
15
0
L Pos L L
P
PL S S S S
S
SL R R
R
SR
PR
.
20 IPAP,cmH2O
15
10
5 4 4
0 0 0 0

20 EPAP,cmH2O
15 11 10
10
5 0
0

11:28:17 PM 01 AM 02 AM 03 AM 04 AM 05 AM

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